Title: Autoimmune Encephalitis-A Rare Case Report
Authors: Dr Sayali Kusalkar, Dr Kishor Jadhav, Dr Aarti Kulkarni, Dr Jaishree Ghanekar
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.36
Abstract
Patient 29/ Female admitted with complaints of fever with chills, altered sensorium and nausea since 2 days. Complete fever profile negative.MRI CSF studies done normal. Patient throwed focal seizures with general examination normal and systemic examination showed no neurodeficit. Twice MRI and CSF done normal. With HSv-PCr Negative. EEG done s/o Continuous slow waves showing generalized theta to delta range slowing with serrated appearance of delta waves (due to overriding fast beta activity) in frontal area representing extreme delta brush. ANTI-TPO antibodies, Thyroglobulin antibodies was negative NMDA receptor antibody was negative. All these symptoms fitted under category of autoimmune encephalitis. Patient improved with injectable and oral steroids.
Keywords: autoimmune, delta, focal, seizures.